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Organization

FAYETTEVILLE MEDICAL CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AGODICHI U NWOSU M.D. (DIRECTOR/OWNER)
(910) 483-7506
Entity
Organization

Contact information

Practice address
3613 RAEFORD RD, SUITE C, FAYETTEVILLE, NC 28304-2113
(910) 483-7506
(910) 483-1749
Mailing address
3613 RAEFORD RD, SUITE C, FAYETTEVILLE, NC 28304-2113
(910) 483-7506
(910) 483-1749

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/18/2009
Last updated
02/18/2009
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